inforMED
MalfunctionHTW

NA

Received Jul 21, 2021 · Event occurred Jun 18, 2021

Report 12202210 · MDR key 12202210

Device

Generic name

Bit, Drill

Manufacturer

Sterilmed, Inc.

Model number

KOMKM166-00-01

Catalog number

KM166-00-01

Product problems

  • Break

Patient

23360 DA

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

A SMALL PIECE OF THE STERILMED DRILL BIT TWIST STAINLESS STEEL BROKE OFF AND LODGED IN THE ANTERIOR ASPECT OF THE HUMERUS. THE FRAGMENT WAS LEFT IN PLACE INTENTIONALLY SO AS NOT TO COMPROMISE THE INTEGRITY OF THE PROXIMAL HUMERUS OR THE HUMERAL STEM FOR THE PROSTHESIS